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Illinois rates for HCPCS C9781

Arthroscopy Shoulder Surgical; With Implantationof Subacromial Spacer (E.G. Balloon) Includes Debridement (E.G. Limited Or Extensive) Subacromial Decompression Acromioplasty And Biceps Tenodesis When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $3,221.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,692.77 / $18,777.68 / $23,740.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00